Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.48 / $1,174.85 / $2,339.29	Facility		$247.48	$1,174.85	$2,339.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $244.87 / $252.69	Professional		$164.12	$244.87	$252.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $273.52 / $416.80 / $1,237.38	Facility		$273.52	$416.80	$1,237.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $638.27 / $1,953.75	Professional		$234.45	$638.27	$1,953.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.93 / $553.76 / $672.66	Facility		$270.93	$553.76	$672.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $260.50 / $442.85	Facility		$234.45	$260.50	$442.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $260.50 / $651.25	Professional		$234.45	$260.50	$651.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $260.50 / $364.70	Facility		$260.50	$260.50	$364.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $455.88 / $807.55	Facility		$260.50	$455.88	$807.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $325.63 / $393.36	Professional		$234.45	$325.63	$393.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $273.52 / $416.80 / $716.38	Facility		$273.52	$416.80	$716.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.11 / $509.33 / $638.27	Professional		$288.11	$509.33	$638.27
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $109.41 / $291.76	Professional		$109.41	$109.41	$291.76